Laparoscopic Incisional/Ventral Hernia Repair

Incisional hernias are a common event after open abdominal surgery, and often require surgical repair. The results of traditional repair, however, are not satisfactory. Laparoscopic incisional hernia repair has been proven to be safe and effective and is becoming a valid alternative with less recurrence rate.

Laparoscopic Inguinal hernia repair: The IPOM procedure

Among the several methods described to repair inguinal hernias laparoscopically, probably the simplest one is called IPOM (IntraPeritoneal On-lay Mesh) repair. A mesh is placed intraabdominally covering the hernia defect and then secured to the abdominal wall. Very popular at the beginning of laparoscopic experience, it has been abandoned for many centers. But we find this particular technique very useful in some selected cases.

Laparoscopic Inguinal hernia repair: The TAPP procedure

Another method is called TAPP (Trans Abdominal Pre-Peritoneal) repair. With this technique, the pre-peritoneal space is accessed from the abdominal cavity and a mesh is then placed and secured. This is a very popular repair, used at many centers worldwide, and it is the procedure of choice for recurrent inguinal hernias.

Laparoscopic Inguinal hernia repair: The TEP procedure

The newest repair technique for inguinal hernias is called TEP (Totally Extra Peritoneal) repair. The mesh is again placed in the retroperitoneal space, but in this case, the space is accessed without violating the abdominal cavity. This is probably the most physiological repair although technically more demanding. At the Texas Endosurgey Institute we started our experience in 1996 and our recurrence rate is very low.